New York State Medical Treatment Guidelines for Mid-Tarsus Pain and Sprains in workers compensation patients

The guidelines for Mid-Tarsus Pain and Sprains have been established by the New York State Workers Compensation Board to aid physicians, podiatrists, and other healthcare professionals in delivering suitable treatment.

These guidelines from the Workers Compensation Board are designed to support healthcare professionals in determining the right level of care for patients dealing with ankle and foot disorders.

It’s crucial to note that these guidelines don’t replace clinical judgment or professional expertise. The final decision on care should be a collaborative one made by the patient in consultation with their healthcare provider.


Mid-Tarsus Pain and Sprains

Mid-tarsus or mid-foot pain and sprains often involve the ligaments in the mid-foot region. The primary diagnostic goal is to rule out the possibility of a midfoot fracture. This category encompasses sprains of the metatarsophalangeal joint and conditions like metatarsalgia. It’s important to note that “metatarsalgia” is a broad term that encompasses various foot pain issues, including conditions like Morton’s neuroma.


Diagnostic Studies for Mid-Tarsus Pain and Sprains

For workers’ compensation patients experiencing mid-tarsus pain and sprains, diagnostic studies, including weight-bearing X-rays, are recommended. These X-rays should consist of lateral and AP views without obliques, often performed bilaterally for comparison:

  • Frequently typical in minor injuries (Grade 1 Sprains).
  • Generally unusual in mild (Grade 2 Sprains).
  • Always unusual with serious wounds (Grade 3 Sprains).

CT scans for mid-tarsus pain and sprains are recommended in doubtful situations and in some preoperative cases.


Mobilization / Immobilization for Mid-Tarsus Pain and Sprains

For mild to moderate cases without diastasis, it is recommended to immobilize the foot in a short-leg walking boot or cast.

In severe situations, cases of instability, and considerable diastases (>2mm), surgery for mid-tarsus pain and sprains is recommended.


What our office can do if you have Mid-Tarsus Pain and Sprains

We’re here to assist with your workers’ compensation injuries, leveraging our experience to address your medical needs and adhere to the guidelines established by the New York State Workers Compensation Board.

Recognizing the significance of your workers’ compensation cases, we’re committed to guiding you through the complexities of interactions with the workers’ compensation insurance company and your employer.

We understand the stress you and your family may be experiencing during this challenging time. If you wish to arrange an appointment, please reach out to us, and we’ll make every effort to ensure the process is as smooth for you as possible.

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